社区原发性高血压患者规范化管理的方法与实施效果评价

目的 通过积极的护理干预,提高原发性高血压患者对高血压的知晓率、血压控制率和对治疗的依从性,达到改善预后、降低高血压致残率和致死率的目的 .方法 对新疆维吾尔自治区石河子市某小区内年龄30岁以上人群进行免费体检,并建立家庭健康档案,筛选出原发性高血压患者108例.对该108例患者实施规范化管理,并应用自行设计的"慢性病高血压防治知识调查问卷"和"高血压患者知信行调查问卷"对护理干预实施前后的状况进行调查分析.结果 护理干预后患者的高血压控制率以及对高血压知识的知晓率较干预前明显提高.结论 通过开展有计划的健康教育指导,向居民普及原发性高血压的防治知识,提高了原发性高血压患者的知晓率和对原发性高血压的控制率.

The method and effect evaluation of standardized management of community patients with primary hypertension

Objective Through active intervention of nursing care to improve the cognitive rate of hy-pertension, rate of blood pressure control and treatment compliance for hypertensive patients to reach the aim of alleviation of prognosis and reduction of disability and mortality. Methods Free physical examinations were carried out in population groups of above 30 years old in a certain community in Xinjiang Uygur Autonomous Region and family health files were set up. Totally 108 patients were screened and standardized management was applied in them,besides their conditions before and after the application of the management were investi-gated and analyzed by self-designed "prevention and treatment of hypertension as a chronic disease" and "in-vestigation questionnaire of KAP of patients with hypertension". Results The cognitive rate and rate of con-trol of high blood pressure were more higher after intervention than that before. Conclusions Through a planned health education instruction, popularizing prevention and treatment knowledge of primary hypertension to residents, we can increase the cognitive rate and rate of control of high blood pressure for patients with hyper-tension.